Co-morbid drug and alcohol and mental health issues in a rural New South Wales Area Health Service
Article first published online: 28 JUL 2006
Australian Journal of Rural Health
Volume 14, Issue 4, pages 148–153, August 2006
How to Cite
Hoolahan, B., Kelly, B., Stain, H. J. and Killen, D. (2006), Co-morbid drug and alcohol and mental health issues in a rural New South Wales Area Health Service. Australian Journal of Rural Health, 14: 148–153. doi: 10.1111/j.1440-1584.2006.00792.x
- Issue published online: 28 JUL 2006
- Article first published online: 28 JUL 2006
- Accepted for publication May 2006.
- drug and alcohol;
- mental health;
- service provider
Objective: In 2003 the New South Wales (NSW) Centre for Rural and Remote Mental Health (CRRMH) conducted an analysis of co-morbid drug and alcohol (D&A) and mental health issues for service providers and consumers in a rural NSW Area Health Service. This paper will discuss concerns raised by rural service providers and consumers regarding the care of people with co-morbid D&A and mental health disorders.
Design: Current literature on co-morbidity was reviewed, and local area clinical data were examined to estimate the prevalence of D&A disorders within the mental health service. Focus groups were held with service providers and consumer support groups regarding strengths and gaps in service provision.
Setting: A rural Area Health Service in NSW.
Participants: Rural health and welfare service providers, consumers with co-morbid D&A and mental health disorders.
Results: Data for the rural area showed that 43% of inpatient and 20% of ambulatory mental health admissions had problem drinking or drug-taking. Information gathered from the focus groups indicated a reasonable level of awareness of co-morbidity, and change underway to better meet client needs; however, the results indicated a lack of formalised care coordination, unclear treatment pathways, and a lack of specialist care and resources.
Discussion: Significant gaps in the provision of appropriate care for people with co-morbid D&A and mental health disorders were identified. Allocation of service responsibly for these clients was unclear. It is recommended that D&A, mental health and primary care services collaborate to address the needs of clients so that a coordinated and systematic approach to co-morbid care can be provided.